Individual
MRS. MEREDITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, BCBA
Contact information
Practice address
270 GREEN RD, SPARTA, NJ 07871-3026
(973) 768-8891
Mailing address
270 GREEN RD, SPARTA, NJ 07871-3026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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